Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA MARIE MATTOCKS, PNP
ActiveJENNA MARIE MATTOCKS, PNP is a Pediatric Nurse Practitioner healthcare provider located in ALEXANDRIA, Minnesota. NPI 1376909242 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · ALEXANDRIA, MN
Registration Details
- NPI Number
- 1376909242
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2016 (10.560001028638 yrs)
- Last Updated
- Oct 21, 2024
- License
-
CNP 4319 (MN)
Practice Information
- Address
-
610 30TH AVE WALEXANDRIA, MN, 563083426Browse MN providers · Browse ZIP 56308
- Phone
- 3207635123
- Fax
- 3207635749
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.